Sam SmithTennessee offers one of the most dynamic and fast-evolving job markets in the United States, fueled by major strengths in healthcare, logistics, automotive manufacturing, corporate operations, and advanced research. Nashville stands as the nation’s healthcare management capital, Memphis serves as a global logistics hub led by FedEx, and Chattanooga and Knoxville are rising tech and research centers. With no state income tax, competitive living costs, and rapid corporate expansion, Tennessee provides exceptional earning potential and career mobility for highly skilled professionals across both traditional industries and innovation-driven sectors.
Highest Paying Jobs In Tennessee – The Scales of Power
1. Chief Executive Officer (CEO)
CEOs in Tennessee oversee overall business direction, growth, and strategic decisions across industries like healthcare, logistics, automotive, entertainment, and tech. With major corporations headquartered in Nashville and Memphis, CEOs manage financial performance, talent, operations, and public relations. Tennessee’s strong corporate relocation trend means CEOs often lead expansion initiatives and workforce development. Their decisions directly influence company culture, competitive strategy, and investor confidence, earning compensation through salary, bonuses, equity, and long-term incentive plans.
2. Chief Financial Officer (CFO)
CFOs in Tennessee lead financial planning, budgeting, investment oversight, and risk management for top employers in healthcare, logistics, and corporate sectors. They forecast trends, guide acquisitions, ensure regulatory compliance, and maintain financial strength. Many Tennessee CFOs handle complex healthcare financial models or global supply chain finances, especially with Nashville’s hospital systems and FedEx’s logistics operations. Their compensation reflects the responsibility of protecting financial integrity, ensuring profitability, and supporting multi-billion-dollar operating environments.
3. Chief Medical Officer (CMO)
CMOs in Tennessee oversee medical policy, quality of care, and clinical leadership for major hospitals and healthcare networks like HCA and Vanderbilt. They guide physician performance, implement patient safety standards, and coordinate between medical teams and executive leadership. With Tennessee’s dominant healthcare management industry, CMOs often influence statewide clinical practices and research partnerships. Their expertise blends medicine, administration, and policy, earning high compensation for safeguarding outcomes and directing large healthcare operations.
4. Chief Nursing Officer (CNO)
CNOs supervise nursing operations, workforce planning, patient care standards, and clinical policy across large hospital systems. In Tennessee, where healthcare is a primary economic driver, CNOs manage thousands of nurses, oversee professional development, and ensure regulatory compliance. They collaborate closely with CMOs and executive teams to improve care delivery. Their leadership directly affects patient experience, staffing efficiency, and safety metrics, making them integral to hospital performance and earning strong compensation.
5. Chief Operating Officer (COO)
COOs manage day-to-day operations, organizational performance, and efficiency across Tennessee’s largest employers. In sectors like healthcare, logistics, and manufacturing, COOs coordinate departments, streamline processes, and ensure strategic goals are executed successfully. They oversee budgets, technology adoption, HR initiatives, and operational continuity. Tennessee’s fast-growing economy requires COOs capable of scaling teams, improving service delivery, and optimizing large-scale operations, earning them top-tier compensation for performance and operational excellence.
6. Chief Information Officer (CIO)
CIOs lead technology strategy, cybersecurity, and digital transformation initiatives in hospitals, logistics firms, and corporate offices. In Tennessee’s growing tech hubs, CIOs oversee IT infrastructure, cloud systems, data security, and emerging technologies like automation and AI. They ensure systems support business goals while protecting sensitive patient and logistics data. Their leadership drives modernization and efficiency across statewide institutions, resulting in highly competitive compensation packages.
7. Chief Legal Officer / General Counsel
General Counsel in Tennessee lead legal strategy, corporate compliance, contracts, and regulatory matters for major companies. With large healthcare enterprises and global logistics operations, they navigate complex laws involving healthcare regulation, privacy, employment matters, intellectual property, and business agreements. They mitigate risks, oversee litigation, and advise executives on governance. Their role is critical for operational integrity and reputation management, earning compensation tied to legal oversight and strategic business guidance.
8. VP of Supply Chain / Logistics
VPs of Supply Chain in Tennessee optimize procurement, warehousing, fleet operations, and distribution networks — especially in Memphis, the logistics capital home to FedEx. They manage global supply networks, automation systems, vendor relationships, and efficiency strategies. Their leadership ensures timely delivery and cost management for high-volume manufacturing and logistics organizations. With supply chain resilience increasingly important, these executives receive strong compensation reflecting the complexity and scale of their responsibilities.
9. VP of Sales
VPs of Sales in Tennessee lead revenue growth, sales teams, market expansion, and strategic partnerships across industries including healthcare tech, manufacturing, and pharmaceuticals. They develop pricing strategies, guide large enterprise deals, monitor performance metrics, and motivate high-performing teams. Their success directly influences company profitability. Compensation often includes high bonuses and commissions tied to revenue targets, reflecting the role’s importance in sustaining competitiveness in Tennessee’s growing corporate environment.
10. Dean of Medical or Business School
Deans at top institutions like Vanderbilt oversee academic programs, faculty, research partnerships, and student success in medical and business schools. They secure funding, develop curriculum, and build industry relationships. In a state with nationally recognized education and healthcare systems, their leadership helps advance innovation and professional training pipelines. Their compensation reflects the academic and administrative expertise required to manage elite programs and uphold institutional prestige.
11. Surgeon
Surgeons in Tennessee perform complex procedures, manage patient care, and collaborate with specialists across hospital systems. With Nashville’s healthcare dominance, surgeons often work in cutting-edge clinical environments and partner with research institutions. Their extensive training, precision skills, and ability to perform life-saving procedures drive compensation. Demand is particularly high in specialties like orthopedics, neurosurgery, and cardiovascular surgery, where outcomes significantly impact patient quality of life and hospital reputation.
12. Anesthesiologist
Anesthesiologists manage anesthesia during surgery, monitor patient vitals, and ensure pain control and safety. Tennessee’s busy hospital systems, surgical centers, and trauma units require highly trained anesthesiologists across many specialties. Their work is critical in both routine and complex procedures. With high responsibility for patient stability and emergency response, anesthesiologists receive strong compensation reflecting the precision and expertise required to safeguard patient outcomes.
13. Oral & Maxillofacial Surgeon
Oral and maxillofacial surgeons perform facial surgeries, dental implants, trauma reconstruction, and corrective procedures. In Tennessee, many operate private practices or partner with hospital systems. Rising cosmetic and reconstructive dentistry demand increases earnings potential. Their rigorous training combines dentistry and surgery, allowing them to address complex facial and jaw conditions. Their compensation reflects specialized skills, high procedure volume, and demand for aesthetic and functional corrections.
14. Psychiatrist
Psychiatrists diagnose and treat mental health disorders through therapy, medication management, and care planning. Tennessee faces growing demand for mental health services, especially in rural areas and private practice settings. Psychiatrists collaborate with hospitals, telehealth services, and behavioral clinics. Their work supports mental well-being and crisis stabilization, often treating mood disorders, addiction, and developmental conditions. Compensation reflects the importance of skilled psychiatric care in improving public health outcomes.
15. Emergency Medicine Physician
Emergency medicine physicians provide immediate treatment for critical illnesses, trauma, and urgent medical situations. Working in fast-paced hospital emergency departments, they stabilize patients and coordinate ongoing care. Tennessee’s urban trauma centers and rural emergency facilities rely on emergency physicians for rapid response and complex decision-making. Their role demands high clinical accuracy under pressure and broad medical expertise, earning competitive compensation for lifesaving skills and constant readiness.
16. Radiologist
Radiologists interpret medical imaging such as MRIs, CT scans, and ultrasounds to diagnose diseases and guide treatment plans. In Tennessee’s hospital networks and diagnostic centers, radiologists play a central role in detecting conditions early and improving outcomes. Many also use interventional techniques for minimally invasive procedures. Their advanced training, reliance on technology, and importance to patient diagnostics contribute to strong compensation packages.
17. OB/GYN
OB/GYNs provide reproductive health care, pregnancy management, and surgical procedures such as C-sections. Tennessee’s large healthcare systems and growing populations create steady demand, especially in family-centered communities. OB/GYNs support women’s health across preventive care, childbirth, and complex reproductive issues. Their high responsibility in maternal care and ability to manage emergencies contribute to earnings. Many also run private practices, increasing flexibility and income potential.
18. Dermatologist
Dermatologists diagnose and treat skin disorders, perform cosmetic procedures, and manage long-term dermatologic conditions. With Tennessee’s mix of urban and suburban healthcare demand, dermatologists serve patients through medical clinics and aesthetic practices. Cosmetic dermatology and elective procedures contribute significantly to earnings. Their role combines medical expertise, surgical skill, and aesthetic judgment, offering strong professional autonomy and high-income potential in both medical and cosmetic specialties.
19. Cardiologist
Cardiologists diagnose and treat heart disease, perform advanced testing, and manage long-term cardiac conditions. Tennessee has high demand due to cardiovascular health challenges in the region. Cardiologists work in major hospital systems, heart institutes, and private practices, often collaborating with surgeons and imaging specialists. Their work prevents and treats life-threatening conditions, making them essential in improving community health and receiving strong compensation for advanced expertise.
20. Gastroenterologist
Gastroenterologists specialize in diagnosing and treating digestive system disorders, performing endoscopic procedures, and managing chronic gastrointestinal diseases. In Tennessee’s expanding healthcare market, they provide critical preventative care, cancer screenings, and treatment for complex digestive issues. Their blend of clinical care and procedural expertise contributes to high earnings. Many operate in hospital systems or private practice, benefiting from steady patient volume and growing demand for digestive health services.
| Rank | Role | Category / Sector | Estimated Total Compensation |
|---|---|---|---|
| 1 | Chief Executive Officer (CEO) | Executive Leadership | $200,000 – $1,000,000+ |
| 2 | Chief Financial Officer (CFO) | Executive Leadership | $200,000 – $900,000+ |
| 3 | Chief Medical Officer | Healthcare Leadership | $250,000 – $900,000+ |
| 4 | Chief Nursing Officer (CNO) | Healthcare Leadership | $200,000 – $500,000+ |
| 5 | Chief Operating Officer (COO) | Executive Leadership | $200,000 – $800,000+ |
| 6 | Chief Information Officer (CIO) | Tech / Corporate Leadership | $200,000 – $600,000+ |
| 7 | Chief Legal Officer / General Counsel | Legal Leadership | $220,000 – $700,000+ |
| 8 | VP of Supply Chain / Logistics | Logistics / Manufacturing | $180,000 – $500,000+ |
| 9 | VP of Sales | Corporate Sales Leadership | $180,000 – $500,000+ |
| 10 | Dean (Medical or Business School) | Higher Education | $200,000 – $600,000+ |
| 11 | Surgeon | Healthcare | $400,000 – $700,000+ |
| 12 | Anesthesiologist | Healthcare | $350,000 – $650,000+ |
| 13 | Oral & Maxillofacial Surgeon | Healthcare | $325,000 – $600,000+ |
| 14 | Psychiatrist | Healthcare | $300,000 – $500,000+ |
| 15 | Emergency Medicine Physician | Healthcare | $300,000 – $500,000+ |
| 16 | Radiologist | Healthcare | $350,000 – $650,000+ |
| 17 | OB/GYN | Healthcare | $300,000 – $500,000+ |
| 18 | Dermatologist | Healthcare | $350,000 – $600,000+ |
| 19 | Cardiologist | Healthcare | $400,000 – $700,000+ |
| 20 | Gastroenterologist | Healthcare | $400,000 – $650,000+ |
| 21 | Hospital Administrator / CEO | Healthcare Admin | $200,000 – $500,000+ |
| 22 | Nurse Anesthetist (CRNA) | Healthcare | $180,000 – $270,000+ |
| 23 | Pharmacist | Healthcare | $120,000 – $160,000 |
| 24 | Physician Assistant (PA) | Healthcare | $110,000 – $160,000 |
| 25 | Nurse Practitioner (NP) | Healthcare | $110,000 – $150,000 |
| 26 | Podiatrist | Healthcare | $120,000 – $250,000 |
| 27 | Optometrist | Healthcare | $120,000 – $200,000 |
| 28 | Managing Director (Finance) | Finance | $200,000 – $400,000+ |
| 29 | Venture Capital Partner | Finance / Investment | $200,000 – $400,000+ |
| 30 | Tax Director | Corporate Finance | $150,000 – $250,000+ |
| 31 | FP&A Director | Corporate Finance | $140,000 – $220,000 |
| 32 | Actuary (Fellow) | Insurance / Finance | $150,000 – $250,000 |
| 33 | Management Consultant (Sr.) | Consulting | $160,000 – $300,000+ |
| 34 | Law Firm Partner | Legal | $200,000 – $500,000+ |
| 35 | Corporate Attorney (Senior) | Legal | $150,000 – $250,000 |
| 36 | M&A Advisor | Finance | $150,000 – $300,000+ |
| 37 | Principal Engineer | Engineering | $130,000 – $200,000 |
| 38 | Engineering Manager | Engineering | $140,000 – $220,000 |
| 39 | Senior Research Scientist | R&D / National Lab | $130,000 – $200,000 |
| 40 | Process Engineering Manager | Manufacturing | $120,000 – $180,000 |
| 41 | Supply Chain / Logistics Director | Logistics | $130,000 – $200,000 |
| 42 | Plant Manager | Manufacturing | $130,000 – $220,000 |
| 43 | Nuclear Engineer | Engineering | $130,000 – $200,000 |
| 44 | Project Director | Construction / Industrial | $120,000 – $200,000 |
| 45 | Quality Assurance Director | Manufacturing | $120,000 – $180,000 |
| 46 | Chief Information Security Officer (CISO) | Cybersecurity | $160,000 – $260,000 |
| 47 | IT Director | Technology | $120,000 – $180,000 |
| 48 | Cloud Architect / Engineer | Technology | $120,000 – $180,000 |
| 49 | Software Engineering Manager | Technology | $130,000 – $200,000 |
| 50 | Data Science Manager | Technology | $130,000 – $200,000 |
| 51 | DevOps Manager | Technology | $120,000 – $180,000 |
| 52 | Solutions Architect | Technology | $110,000 – $170,000 |
| 53 | Network Architect | Technology | $110,000 – $160,000 |
| 54 | Senior Data Scientist | Technology | $120,000 – $180,000 |
| 55 | Cybersecurity Architect | Technology | $120,000 – $180,000 |
| 56 | Sales Director | Pharma/Device/Tech | $140,000 – $250,000+ |
| 57 | Enterprise Account Executive | Tech / SaaS | $120,000 – $220,000+ |
| 58 | Marketing Director | Corporate | $110,000 – $170,000 |
| 59 | HR Director | Corporate | $110,000 – $170,000 |
| 60 | Talent Acquisition Director | Corporate | $100,000 – $160,000 |
| 61 | Real Estate Development Director | Real Estate | $150,000 – $300,000+ |
| 62 | Commercial Real Estate Broker | Real Estate | $120,000 – $500,000+ |
| 63 | Construction Project Manager | Construction | $100,000 – $160,000 |
| 64 | University Professor (Tenured) | Education | $90,000 – $180,000 |
| 65 | Airline Pilot | Aviation | $120,000 – $200,000 |
| 66 | Commercial Pilot | Aviation | $100,000 – $180,000 |
| 67 | Power Plant Manager | Energy | $110,000 – $170,000 |
| 68 | Elevator Installer/Repairer | Trades | $90,000 – $150,000 |
| 69 | Radiation Therapist | Healthcare | $90,000 – $140,000 |
| 70 | Commercial Diver | Industrial Services | $90,000 – $160,000+ |
| 71 | Electrical Line Worker Supervisor | Energy / Utilities | $90,000 – $150,000 |
| 72 | HVAC Manager (Commercial) | Trades | $90,000 – $140,000 |
| Rank | Role | Category / Sector | Estimated Total Compensation |
|---|---|---|---|
| 73 | Senior Mechanical Engineer | Engineering | $95,000 – $135,000 |
| 74 | Senior Electrical Engineer | Engineering | $95,000 – $140,000 |
| 75 | Automation / Robotics Engineer | Manufacturing / Tech | $90,000 – $140,000 |
| 76 | Biomedical Engineer (Senior) | Healthcare Engineering | $90,000 – $140,000 |
| 77 | Logistics Manager (FedEx / Auto) | Logistics | $95,000 – $150,000 |
| 78 | Supply Chain Program Manager | Logistics | $100,000 – $160,000 |
| 79 | Senior Auditor / Internal Audit Manager | Finance | $95,000 – $150,000 |
| 80 | Credit Risk Manager / Underwriting Lead | Banking / Finance | $90,000 – $150,000 |
| 81 | Insurance Underwriting Manager | Insurance | $90,000 – $145,000 |
| 82 | Senior Product Manager | Tech / Corporate | $120,000 – $180,000 |
| 83 | Business Intelligence Manager | Tech / Data | $105,000 – $160,000 |
| 84 | UX/UI Design Lead | Tech / Design | $95,000 – $150,000 |
| 85 | Senior Systems Analyst | Tech | $90,000 – $130,000 |
| 86 | IT Security Manager | Cybersecurity | $115,000 – $170,000 |
| 87 | Senior Database Administrator | Tech | $100,000 – $160,000 |
| 88 | Senior Project Manager (Tech) | Tech | $95,000 – $150,000 |
| 89 | Clinical Research Director | Healthcare / Pharma | $130,000 – $220,000 |
| 90 | Genetic Counselor (Senior) | Healthcare | $85,000 – $125,000 |
| 91 | Hospital IT Director | Healthcare Tech | $120,000 – $190,000 |
| 92 | Pharmaceutical Sales Manager | Pharma | $110,000 – $200,000+ |
| 93 | Medical Device Sales Manager | MedTech | $120,000 – $220,000+ |
| 94 | Senior Manufacturing Technician | Advanced Manufacturing | $85,000 – $125,000 |
| 95 | Federal Government Engineer (Oak Ridge) | Research / Nuclear | $110,000 – $180,000 |
| 96 | Treasury Manager | Corporate Finance | $95,000 – $150,000 |
| 97 | Financial Controller | Corporate Finance | $110,000 – $180,000 |
| 98 | Entertainment Business Manager | Music / Entertainment | $100,000 – $250,000+ |
| 99 | Music Producer / Publishing Executive | Music / Media | $120,000 – $350,000+ |
| 100 | Senior Pastor / Mega-Church Leader | Religion / Leadership | $100,000 – $300,000+ |
Closing
From surgeons and healthcare executives to automotive engineers, logistics leaders, and emerging tech innovators, Tennessee’s economy delivers high-paying opportunities across diverse fields. As global companies continue expanding into Nashville, Memphis, and Knoxville — and as research institutions like Oak Ridge National Laboratory drive scientific and technological breakthroughs — the state is positioned for sustained economic growth. With strong job security, rising salaries, growing investment in technology, and favorable tax advantages, Tennessee remains a top destination for professionals seeking high earning power, stability, and long-term upward mobility.